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Idaho rates for HCPCS A6454

Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 3 in and less than 5 in, per yd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.80 / $1.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.94 / $1.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.46 / $0.77